Neurotrophic Keratitis Treatment in Tustin, California
Neurotrophic Keratitis — At a Glance
Severity & Type
When to See a Doctor
Schedule a comprehensive eye exam if you experience persistent symptoms.
Key Symptoms
- Persistent corneal epithelial defect that does not heal
- Reduced or absent corneal sensation
- Red eye with minimal pain (paradoxically)
- Blurred vision
- History of herpes eye infection, diabetes, or neurological surgery
Treatment Options
- Scleral Contact Lens Fitting
- Cenegermin (Oxervate) — recombinant nerve growth factor
- Amniotic Membrane Transplant
- Autologous Serum Eye Drops
- Tarsorrhaphy (partial eyelid closure)
Neurotrophic keratitis is a degenerative corneal disease caused by damage to the trigeminal nerve (cranial nerve V), which provides sensory innervation to the cornea. Without normal nerve function, the cornea loses its ability to heal and maintain itself, leading to persistent epithelial defects, corneal ulceration, and potential perforation — often with minimal pain because the cornea has reduced sensation. Common causes include herpes simplex or zoster keratitis, diabetes, acoustic neuroma surgery, and trigeminal neuralgia procedures. Scleral lenses protect the corneal surface and promote healing by maintaining constant hydration.
Tustin residents with neurotrophic keratitis often delay care due to busy schedules. Our efficient diagnostic protocols mean accurate corneal assessment and treatment planning in a single thorough visit.
Dr. Bonakdar on Neurotrophic Keratitis
Direct Answers from Dr. Bonakdar
Dr. Alexander Bonakdar at EyeCare Center of Orange County provides expert neurotrophic keratitis diagnosis and treatment for patients in Tustin and throughout Orange County. With over 35 years of clinical experience and advanced diagnostic technology, each patient receives a personalized treatment plan based on their specific condition severity and lifestyle needs.
What is Neurotrophic Keratitis?
Neurotrophic keratitis is a degenerative corneal disease caused by damage to the trigeminal nerve (cranial nerve V), which provides sensory innervation to the cornea. Without normal nerve function, the cornea loses its ability to heal and maintain itself, leading to persistent epithelial defects, corneal ulceration, and potential perforation — often with minimal pain because the cornea has reduced sensation. Common causes include herpes simplex or zoster keratitis, diabetes, acoustic neuroma surgery, and trigeminal neuralgia procedures. Scleral lenses protect the corneal surface and promote healing by maintaining constant hydration.
How is Neurotrophic Keratitis treated?
Treatment options include Scleral Contact Lens Fitting, Cenegermin (Oxervate) — recombinant nerve growth factor, Amniotic Membrane Transplant, Autologous Serum Eye Drops. The best approach depends on your specific diagnosis, severity, and lifestyle needs.
What are the symptoms of Neurotrophic Keratitis?
Common symptoms include Persistent corneal epithelial defect that does not heal, Reduced or absent corneal sensation, Red eye with minimal pain (paradoxically), Blurred vision, History of herpes eye infection, diabetes, or neurological surgery. If you experience any of these, a comprehensive eye examination can determine the cause.
What are the symptoms of Neurotrophic Keratitis?
If you or a family member in Tustin experience any of the following symptoms, scheduling an evaluation sooner rather than later leads to better outcomes:
- Persistent corneal epithelial defect that does not heal
- Reduced or absent corneal sensation
- Red eye with minimal pain (paradoxically)
- Blurred vision
- History of herpes eye infection, diabetes, or neurological surgery
- Corneal thinning or ulceration
How is Neurotrophic Keratitis treated?
For Tustin residents, we design treatment plans that balance effectiveness with convenience—minimizing follow-up visits while ensuring optimal outcomes:
Neurotrophic Keratitis FAQs for Tustin Patients
Common questions from Tustin patients about our eye care services
Have more questions? Call us at (949) 323-3600
We don't take Medi-Cal
Neurotrophic Keratitis Care for Tustin Residents
Corneal conditions like neurotrophic keratitis require specialized diagnostic equipment and clinical experience. Tustin families trust our practice because we combine modern technology with the personal attention of a neighborhood eye doctor. Our practice uses high-resolution corneal topography and anterior segment OCT to evaluate the cornea's structure layer by layer. This precision is essential for neurotrophic keratitis, where treatment decisions depend on accurate staging and documentation of changes over time. We develop individualized treatment plans that may include medicated drops, specialty lenses, or surgical referral when indicated.
About Tustin
Family-oriented suburban community with excellent schools
Population: 80,000+
Languages Spoken in Tustin
Our practice serves the diverse Tustin community. We provide care to patients who speak:
Eye Health Priorities for Tustin
- Whole-family eye care
- School vision screenings
- Contact lens fittings for all ages
- Progressive lens consultations
- Annual comprehensive exams
Conveniently Located Near Tustin Landmarks
Our Orange County practice is easily accessible for Tustin patients living near:
Getting to Our Office from Tustin
Our office at 801 N Tustin Ave is right in Santa Ana — no freeway needed. On-site parking is available in the building.
801 N Tustin Ave, Ste 404, Santa Ana, CA 92705 — Get DirectionsTustin Neighborhoods We Serve
- Old Town Tustin
- Tustin Legacy
- North Tustin
- Columbus Grove
Zip codes: 92780, 92782
Why Tustin Patients Choose EyeCare Center for Neurotrophic Keratitis
35+ Years of Experience
Dr. Alexander Bonakdar has served Orange County since 1991, with extensive experience treating neurotrophic keratitis.
Advanced Diagnostics
OCT imaging, corneal topography, visual field testing, and retinal photography for precise diagnosis.
Insurance Accepted
VSP, EyeMed, Medicare, and most major vision and medical insurance plans. We do not accept Medi-Cal.
Convenient for Tustin
Open Monday through Friday 9 AM – 6 PM with easy access from Tustin and surrounding communities.
Your Neurotrophic Keratitis Specialist in Tustin
Dr. Alexander Bonakdar is a California-licensed Optometrist (O.D.) with over 35 years of experience treating neurotrophic keratitis and complex eye conditions. A graduate of the Illinois College of Optometry, he has helped over 10,000 patients achieve and maintain clear vision.
Patient Stories from Tustin
See why your neighbors in Tustin trust us with their vision.
Comprehensive Exam
"Not a fan of getting my eyes checked but the receptionist and Dr. were very nice and eased my anxiety."
Comprehensive Exam
"I came back for my yearly visit and had a great experience as always."
Schedule Your Neurotrophic Keratitis Consultation
Expert diagnosis and treatment for Tustin and Orange County residents.